Excel Treatment Center of Randolph, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000470 Issued in NJ

Legal business name

EXCEL TREATMENT CENTER OF RANDOLPH, LLC

Practice address

477 Route 10 E
Suite 206
Randolph, NJ 07869-2142

Phone

(973) 879-3076

NPI assigned

Aug 15, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Polito

Title

Ceo

Phone

(973) 879-3076

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1831522622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 E",
            "address_2": "SUITE 206",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692142",
            "telephone_number": "973-879-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 E",
            "address_2": "SUITE 206",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692142",
            "telephone_number": "973-879-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL TREATMENT CENTER OF RANDOLPH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "POLITO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-879-3076"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh S Ende, M.D.
• Robert HK Eng, M.D.
• Rona G. Epstein, MA, CCC-SLP
• Essex County Weightloss, LLC
• Excel Treatment Center
• Tyler Faede, PT, DPT
• Lauren Marie Falvey, P.A.
• Family and Cosmetic Dentistry of Randolph, LLC
• Family Medicine Associates of Randolph LLC
• Sylvia Fask, PH.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.